| Entity Name: | JOHNSON INTERNAL MEDICINE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 14 Jul 2000 (25 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 26 Dec 2006 (18 years ago) |
| Document Number: | P00000067645 |
| FEI/EIN Number | 651026163 |
| Address: | 1601 CLINT MOORE ROAD, SUITE 155, BOCA RATON, FL, 33487 |
| Mail Address: | 1601 CLINT MOORE ROAD, SUITE 155, BOCA RATON, FL, 33487 |
| ZIP code: | 33487 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285663096 | 2006-07-02 | 2011-05-26 | 1601 CLINT MOORE RD, 155, BOCA RATON, FL, 334872768, US | 1601 CLINT MOORE RD, #155, BOCA RATON, FL, 334872768, US | |||||||||||||||||||
|
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| Phone | +1 561-338-0700 |
| Fax | 5613629960 |
Authorized person
| Name | DR. C ROBERT JOHNSON |
| Role | PRESIDENT |
| Phone | 5613380700 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | OS0004672 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| FILINGS, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| JOHNSON C. ROBERT | President | 1601 CLINT MOORE RD STE155, BOCA RATON, FL, 33487 |
| Name | Role | Address |
|---|---|---|
| JOHNSON C. ROBERT | Director | 1601 CLINT MOORE RD STE155, BOCA RATON, FL, 33487 |
| JOHNSON LISA | Director | 1601 CLINT MOORE RD STE155, BOCA RATON, FL, 33487 |
| Name | Role | Address |
|---|---|---|
| JOHNSON LISA | Vice President | 1601 CLINT MOORE RD STE155, BOCA RATON, FL, 33487 |
| Name | Role | Address |
|---|---|---|
| johnson lisa | Treasurer | 1601 CLINT MOORE ROAD, BOCA RATON, FL, 33487 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2007-07-05 | 1601 CLINT MOORE ROAD, SUITE 155, BOCA RATON, FL 33487 | No data |
| CHANGE OF MAILING ADDRESS | 2007-07-05 | 1601 CLINT MOORE ROAD, SUITE 155, BOCA RATON, FL 33487 | No data |
| AMENDMENT | 2006-12-26 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-07 |
| ANNUAL REPORT | 2023-02-01 |
| ANNUAL REPORT | 2022-01-29 |
| ANNUAL REPORT | 2021-01-27 |
| ANNUAL REPORT | 2020-01-28 |
| ANNUAL REPORT | 2019-02-05 |
| ANNUAL REPORT | 2018-02-07 |
| ANNUAL REPORT | 2017-01-16 |
| ANNUAL REPORT | 2016-02-09 |
| ANNUAL REPORT | 2015-01-20 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
